Organization
NEW YORK ORTHODONTIC GROUP DBA JACKSON HEIGHTS ORTHODONTICS
Active
Other names
Jackson Heights Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EFSTATHIOS GIANNOUTSOS DDS (ORTHODONTIST)
(718) 335-4444
Entity
Organization
Contact information
Practice address
7409 37TH AVE, SUITE 301, JACKSON HEIGHTS, NY 11372-6300
(718) 335-4444
(718) 335-1855
Mailing address
7409 37TH AVE, SUITE 301, JACKSON HEIGHTS, NY 11372
(718) 335-4444
(718) 335-1855
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
NY052416
NY
Other
Enumeration date
09/27/2012
Last updated
09/27/2012
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